Provider Demographics
NPI:1720390560
Name:ACHIEVE SERVICES
Entity Type:Organization
Organization Name:ACHIEVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-435-1198
Mailing Address - Street 1:4045 ORCHARD RD SE
Mailing Address - Street 2:BUILDING 300
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4902
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4045 ORCHARD RD SE
Practice Address - Street 2:BUILDING 300
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4902
Practice Address - Country:US
Practice Address - Phone:770-435-1198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA048R0026251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health